Mobile Phone Apps for Low-Income Participants in a Public Health Nutrition Program for Women, Infants, and Children (WIC): Review and Analysis of Features (Preprint)

BACKGROUND Since 1972, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) has been proven to improve the health of participating low-income women and children in the United States. Despite positive nutritional outcomes associated with WIC, the program needs updated tools to help future generations. Improving technology in federal nutrition programs is crucial for keeping nutrition resources accessible and easy for low-income families to use. OBJECTIVE This review aimed to analyze the main features of publicly available mobile phone apps for WIC participants. METHODS Keyword searches were performed in the app stores for the 2 most commonly used mobile phone operating systems between December 2017 and June 2018. Apps were included if they were relevant to WIC and excluded if the target users were not WIC participants. App features were reviewed and classified according to type and function. User reviews from the app stores were examined, including ratings and categorization of user review comments. RESULTS A total of 17 apps met selection criteria. Most apps (n=12) contained features that required verified access available only to WIC participants. Apps features were classified into categories: (1) shopping management (eg, finding and redeeming food benefits), (2) clinic appointment management (eg, appointment reminders and scheduling), (3) informational resources (eg, recipes, general food list, tips about how to use WIC, links to other resources), (4) WIC-required nutrition education modules, and (5) other user input. Positive user reviews indicated that apps with shopping management features were very useful. CONCLUSIONS WIC apps are becoming increasingly prevalent, especially in states that have implemented electronic benefits transfer for WIC. This review offers new contributions to the literature and practice, as practitioners, software developers, and health researchers seek to improve and expand technology in the program.

Have electronic benefits cards improved food access for food stamp recipients?

Purpose The purpose of this paper is to investigate electronic benefits transfer (EBT) card reforms in California’s Food Stamp Program, and its impact on food insecurity. Design/methodology/approach The authors test the hypothesis that EBT cards reduce food insecurity by reducing the food costs associated with loss and theft of benefits, as well as by decreasing fraudulent sales of benefits. The authors use a natural experiment in the form of the time-varying roll-out of EBT card reforms across California counties in conjunction with the California Health Interview Survey, to conduct an event study. Findings The findings suggest no evidence for a decrease in food insecurity. The authors do, however, find evidence of a transitory increase in food insecurity immediately following implementation of EBT reforms. Reforms increase the likelihood of food insecurity by about 3 percent for up to two months. The result is distinguishable from zero, and robust to changes in specification, inclusion of controls, and measurement choices. The authors posit the increase was due to frictions in the transition to EBT card systems. Originality/value Although a considerable literature with regard to the FSP exists, very little has been written investigating a specific linkage between EBT cards and food security. The findings are not supportive of policy makers’ hypothesis that a positive externality of EBT benefits delivery is a lasting reduction in food insecurity.

Using a Case Approach to Assess Farmers’ Attitudes Regarding Central Terminal Model Electronic Benefits Transfer (EBT) Programs at Selected Michigan Farmers Markets

Recently, the U.S. Department of Agriculture (USDA) has pushed to increase the number of farmers markets that accept Supplemental Nutrition Assistance Program (SNAP) benefits (formerly known as food stamps) via Electronic Benefits Transfer (EBT). However, a small percentage of farmers markets accept SNAP and little is known of the experience of the farmer-vendors who participate in central terminal model EBT programs at farmers markets. The objective of this exploratory study was to elucidate farmers’ attitudes regarding central terminal model EBT programs at selected Michigan farmers markets. This study used qualitative research methods and a case approach. Thirty-two farmers that participated in central terminal model EBT programs at farmers markets were interviewed. Three main themes emerged. First, based on their experiences, farmers expressed a positive attitude toward central terminal model EBT programs at farmers markets. Second, positive attitudes were often associated with the view that market managers had made it easy for farmers to accept EBT benefits and freed them from the administrative burdens of redemption and federal reporting. Third, farmers believed that accepting food assistance benefits attracted new customers to the farmers market thus expanding their customer base. While these results may not be reflective of farmers’ attitudes in other regions, the themes that emerged highlight topics that may be important considerations when making future decisions about the expansion of electronic food assistance programs at farmers markets.